Personal Information

 

First Name:   MI:    Last Name: 

Home Phone:  xxx-xxx-xxxx

Other Phone:   xxx-xxx-xxxx

Email:

 

Are you eligible to work in the United States?  Yes  No

If applicable, please provide your alien registration number or other authorization number authorizing you to work:

Number:

 

NOTE: You must be at least 18 years of age.

 

Have you ever been to a Three Dog Bakery?   Yes  No

 

Are you familiar with the company's mission?   Yes  No

 

Do you have a dog?   Yes  No

 

What brand of dog food do you feed your dog?   

 

If hired, would you be willing to transition your dog to Three Dog Bakery Bake to Nature baked food for dogs and/or Gracie's Gourmet Entree for dogs?   Yes  No

 

Referred by:

 

Employment Information

 

Type of Employment Desired?  Full Time Part Time

 

Salary Requirement:     per hour per month per year

 

Date you are available to start employment:   xx/xx/xx

 

Availability:

 

 

Are you willing to work over-time, when and as required?  Yes No

 

Have you completed an application with Three Dog Bakery Las Vegas before?   Yes No

If Yes, when? xx/xx/xx

 

Have you ever been interviewed by Three Dog Bakery Las Vegas?   Yes No

If Yes, when? xx/xx/xx

 

Do you have any relatives in the employ of Three Dog Bakery Las Vegas including in-laws, stepsisters, stepbrothers, half-sisters, and half-brothers?          Yes No

 

If Yes, list their name and relationship to you:

 

Do you have any personal acquaintances in the employ of Three Dog Bakery Las Vegas?  Yes No

 

If Yes, list their name:

 

Have you ever been employed by Three Dog Bakery?  Yes No

 

If Yes, give position(s) held and dates of employment:

 

Employment Experience

 

Present or Last Employer:

Address1: 

Address2:

City:   State:   Zipcode: -

 

Position: 

Starting Date:   Leaving Date:  xx/xx/xx

 

Still Employed:  Yes No

 

If No, state reason for leaving:

 

Previous Employer 1: 

Address1: 

Address2:

City:   State:   Zipcode: -

 

Position: 

Starting Date:   Leaving Date:  xx/xx/xx

 

Still Employed:  Yes No

 

If No, state reason for leaving:

 

 

Have you ever been suspended, dismissed, asked to resign, or resigned in lieu of termination from any previous job?  Yes No

 

If Yes, by whom, when, and why:

 

Education

 

Include type, name of school, location, course and/or degree, and if you graduated:

 

Do you speak any languages other than English?  Yes No

 

If Yes, specify:

 

General Information

 

Driver's License Number:   State Issued:

Current?  Yes No

 

Has your driver's license ever been suspended or revoked?  Yes No

 

If Yes, state when, where, and why for each suspension or revocation:

 

How many traffic accidents have you had while driving in the last five (5) years? 

 

Have you ever been convicted or sentenced for any violation of the law?    Yes No

 

If Yes, list details:

 

Personal References (List Three)

 

Do not list mere acquaintances, previous employers, or relatives.  List people you know well either personally or professionally.

1.   

2.  

3.  

 

Military Service

 

Branch of Service:

Job Function:

Dates of service: From:  To: xx/xx/xx

 

Were you ever convicted by Court Martial or subject to any other military disciplinary action (Article 15, Captain's Mast, etc.)? Yes No

 

If Yes, state details:

 

Final processing prior to employment may include a review of the original or a copy of your military discharge or a copy of DD form 214.

 

Miscellaneous Information

 

Please include any information that you feel would supplement your application:

 

By submitting this application you certify that the information given is truthful and accurate to the best of your knowledge.

 

If you are not truthful on this application or in any other part of the application process, and if you are hired, Three Dog Bakery reserves the right to terminate your employment upon discovery of your lack of truthfulness.